Aetna Provider Data Services Coordinator in Wichita, Kansas

Req ID: 37458BR

POSITION SUMMARY

In the Provider Data Services Coordinator position, you will maintain accurate provider data through coordination with internal and external business partners and ensure compliance with contract administration.

Fundamental Components includes, but is not limited to:

  • Reviews projects for accuracy, completeness and consistency.

  • Assumes leadership role for special projects and business process improvement initiatives.

  • Understands other departments/processes and the upstream/downstream effect of work to those departments/processes.

  • Serves as a subject matter expert, providing technical assistance to internal and/or external constituents on issues, products and/or system applications/delivery.

  • Designs, develops and delivers transitional training processes and procedures to smooth the transition for newly hired employees from formalized classroom training to the departments production environment.

  • Verifies inputted data and ensures compliance and quality by putting checks and balances into practice.

  • Analyzes new products and policy changes and recommends methods and procedures for compliance and/or implementation.

  • Has advance proficiency with Aetna systems and products and is able to assimilate and translate relevant information on products and policies; has the ability to effect change throughout the department.

  • Identifies, recommends and leads changes to streamline or correct existing process or system procedures.

  • Understands constituents needs and priorities; demonstrates methodologies to achieve successful provider data management.

  • Communicates effectively and timely with internal and/or external constituents.

  • Develops customized reports and analysis on an ad hoc basis.

  • Exhibits the following Sr. Client Service Support Consultants Behaviors: Sets and pursues aggressive goals to reach peak performance.

  • Puts top priority on generating sustained successful business performance .

  • Multi-tasks to accomplish workload efficiently. Questions processes and suggests improvements.

  • Routinely utilizes available data in the context of day to day work

  • Identifies, accesses and prioritizes the sources of data that are relevant to a particular issue.

BACKGROUND/EXPERIENCE desired:

  • 2 years or more Provider relations background and/or provider network experience; Preferred

  • Microsoft Office (Excel); Plus

  • Attention to detail; Required

  • Good analytical skills to interpret data; Required

  • Demonstrate critical thinking ; Required

  • Attention to detail and accuracy; Required

  • Problem solving skills; Required

  • Technical skills; Required

  • Analytical skills; Required

  • Mentoring skills; Required

  • Effective verbal and written communication skills; Required

  • Willingness to take on more complex assignments; Required

  • Ability to work cross organizationally; Required

EDUCATION

The minimum level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.

DESIRED SKILLS

General Business/Communicating for Impact/ADVANCED

General Business/Turning Data into Information/FOUNDATION

Leadership/Driving a Culture of Compliance/FOUNDATION

Additional Information

Engages in skilled, active, interpretation and evaluation of observations, communications, information, and argumentation

Gives due consideration to the evidence, context and relevant criteria surrounding the nature of a problem or question

Recognizes unstated assumptions and values, interprets data and evaluates arguments to make accurate judgments

Demonstrates intellectual humility, empathy, integrity, courage, and confidence to drive fair and purposeful judgment

Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.

We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.

Together we will empower people to live healthier lives.

Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.

We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.

Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Job Function: Customer Service